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Kendua Upazila Health Complex | Health Bulletin 2015 |
Preface
I am very glad to publish this Local Health Bulletin-2015 of Kendua Upazila. This bulletin contains all the health related information of 2014.This bulletin is published to disseminate the information of kendua upazila to other line department and development partners of health. I hope all the information of this bulletin will help for planning and bridging the gaps in health services of this upazila. Government health office has many data stored in the file.This health bulletin will help us to find contains and also to see the results and achievements of 2014. The bulleting contains the status of MDG4 and MDG5 which will help to locate the MDG targets. The health bulletin has also the information on safe drinking water & sanitation status of the upazila. All the sanctioned,existing & vacant posts are published in this bulletin of 2015. Kendua upazila is large upazila of netrakona district. It is 30 km south from Netrakona Headquarters. It has 13 Unions with 262 Villages & 63325 Households. The upazila health complex is located in the center of the upazila. It is a 50 beded CEmOC Hospital but no cesar because there is no Junior Consultant(Surgery /Anesthesia) & EmOC Pair nurse. Only normal delivery regularly done. Due to shortage of Nurse it is very difficult to manage roster.We are hopeful that Honourable DG Sir will provide some Nurse this year.Too mention that all Officers & Staffs of UHC/RD/USC & CC are very happy to write this local health bulletin 2015 because this document of health bulletin will help us to compare our progress in coming up years.It is very useful documents and will help the public to understand health services & to provide is the useful advice for improvement in future. I like to take attention of the higher Authority to lock into this issue. Finally I would like to congratulate of the health bulletin software for 4th times setting us one step ahead toward Digital Bangladesh. Dr Md Abdul Ghani, UH&FPO(Add.IC), UHC, Kendua, Netrakona.
Dr. Md Abdul Ghani
UH&FPO
Kendua Upazila Health Complex

Kendua Upazila Health Complex | Health Bulletin 2015 | Page# 1
Organization at a glance
Name of the Upazila Kendua
Organization Code 10000482
Name of UHFPO Dr. Md Abdul Ghani
Land Phone No. 1 0952-0856010
Land Phone No. 2
FAX No.
Mobile No. 01711408176
Email kendua@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 24.3913 And Long: 90.4928
No. of Unions in the Upazila13
No. of Households in the Upazila 63,325
Population in the Upazila 307,497
Area of Upazila in sq km 301.75

Kendua Upazila Health Complex | Health Bulletin 2015 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex 1 50
No. of OPD at Sadar Upazila Health Facility 0 0
No. of Union Sub-Centres 2 0
No. of Union Health and Family Welfare Centres (belongs to DGHS) 11 0
No. of Union Health and Family Welfare Centres (belongs to DGFP) 4 0
No. of Rural/Urban/Thana Health Centers 0 0
No. of Community Clinics 35 0
No of Trauma Centres 0 0
No. of MCWCs (belongs to DGFP) 0 0
No. of Chest Disease Clinics (TB Clinics) 1 0
No. of Private Clinics/Facilities 0 0
No. of NGO Clinics/Facilities 1 0

Kendua Upazila Health Complex | Health Bulletin 2015 | Page# 3
Child health and MDG-4 (Whole Upazila) (Jan-Dec, 2014)
No. of Live Births: 8,331


Under 5 Mortality Rate: 29.648 (Per 1,000 live births)
Infant Mortality Rate: 27.008 (Per 1,000 live births)
Neonatal Mortality Rate: 23.887 (Per 1,000 live births)
Still Birth Rate: 20.766 (Per 1,000 live births)
Total No. of Children Treated under IMCI Program 5,006
Fully Vaccinated Children (<= 12 months): 100.00 %
Fully Vaccinated Children (<= 23 months): 98%%

Kendua Upazila Health Complex | Health Bulletin 2015 | Page# 4
Maternal health and MDG-5 (Whole Upazila) (Jan-Dec, 2014)
R.P.W.: Registered Pregnant Women; 1st ANC: No. of 1st ANC recipients; 4th ANC: No. of 4th ANC recipients; C. Preg.: No. of complicated pregnancy; N.V. deli.: No. of normal deliveries; C. deli.: No. of cesarean deliveries; O. deli.: No. of other deliveries; PNC: No. of PNC services provided to the mothers;



No. of Maternal Deaths: 23
Total No. of Recipients Who Took at least one ANC: 9,855
Total Number of Deliveries: 9,459
Valid TT Coverage: 13.00 %
Maternal Mortality Ratio (MMR) is: 276.08 per 100,000 live births.

Kendua Upazila Health Complex | Health Bulletin 2015 | Page# 5

No. of OPD & Emergency visits at Upazila
Health Facility
OPD
Emergency
Above 5 Yr Below 5 Yr Above 5 Yr Below 5 Yr
. M F T (M+F) M F T (M+F) Grand Total M F T (M+F) M F T (M+F) Grand Total
Upazila Health Complex 11,671 14,019 25,690 3,271 3,580 6,851 32,541 510 228 738 106 130 236 974
Union Sub-Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGHS) 35,358 46,010 81,368 10,930 11,841 22,771 104,139 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Community Clinics 83,623 175,809 259,432 11,208 12,203 23,411 282,843 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 224 130 354 1 1 2 356 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 302 530 832 101 203 304 1,136 0 0 0 0 0 0 0

Kendua Upazila Health Complex | Health Bulletin 2015 | Page# 6

No. of Admissions & Deaths at Upazila
Health Facility
Admission
Death
Above 5 Yr Below 5 Yr Above 5 Yr Below 5 Yr
. M F T (M+F) M F T (M+F) Grand Total M F T (M+F) M F T (M+F) Grand Total
Upazila Health Complex 1,507 2,375 3,882 622 690 1,312 5,194 7 8 15 1 3 4 19
Trauma Centres 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MCWCs (belongs to DGFP) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB Clinics) 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Kendua Upazila Health Complex | Health Bulletin 2015 | Page# 7

Top 10 diseases according to the number of patients admitted in the UHC during the reporting period
Total number of admitted patients during the reporting period 5,194
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 A083 Other viral enteritis I: Certain infectious and parasitic diseases 923 17.77
2 K27 Peptic ulcer, site unspecified XI: Diseases of the digestive system 912 17.56
3 A090 Other and unspecified gastroenteritis and colitis of infectious origin I: Certain infectious and parasitic diseases 841 16.19
4 A030 Shigellosis due to Shigella dysenteriae I: Certain infectious and parasitic diseases 552 10.63
5 J129 Viral pneumonia, unspecified X: Diseases of the respiratory system 533 10.26
6 A183 Tuberculosis of intestines, peritoneum and mesenteric glands I: Certain infectious and parasitic diseases 325 6.26
7 E44 Protein-energy malnutrition of moderate and mild degree IV: Endocrine, nutritional and metabolic diseases 281 5.41
8 J448 Other specified chronic obstructive pulmonary disease X: Diseases of the respiratory system 209 4.02
9 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 108 2.08
10 T36 Poisoning by systemic antibiotics XIX: Injury, poisoning and certain other consequences of external causes 84 1.62

Kendua Upazila Health Complex | Health Bulletin 2015 | Page# 8

Top 10 Causes of diseases according to the number of deaths among admitted patients in the UHC
Total number of Deaths during the reporting period 19
Serial No.
ICD-10 Code with Disease Name
System
No. of cases
%
1 J45 Asthma X: Diseases of the respiratory system 5 26.32
2 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 2 10.53
3 R400 Somnolence X: Diseases of the respiratory system 2 10.53
4 R509 Fever, unspecified XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 2 10.53
5 I10 Essential (primary) hypertension IX: Diseases of the circulatory system 1 5.26
6 P219 Birth asphyxia, unspecified XVI: Certain conditions originating in the perinatal period 1 5.26
7 J18 Pneumonia, organism unspecified X: Diseases of the respiratory system 1 5.26
8 I219 Acute myocardial infarction, unspecified IX: Diseases of the circulatory system 1 5.26
9 W14 Fall from tree XX: External causes of morbidity and mortality 1 5.26
10 R104 Other and unspecified abdominal pain XVIII: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 1 5.26

Kendua Upazila Health Complex | Health Bulletin 2015 | Page# 9

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 98.00
Coverage of households having access to sanitary latrines (%) 79.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in 365 days (No.) 14,733
Bed Occupancy Rates (%) 80.73
Average Length of Hospital Stay (No. of days per patient) 2.84
Hospital Death Rate (%) 0.37


Kendua Upazila Health Complex | Health Bulletin 2015 | Page# 10

Surgeries & Interventions done in the Upazila Health Complex
Type
No.
Major Surgeries 0
Minor Surgeries 4,970

 

Kendua Upazila Health Complex | Health Bulletin 2015 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 23 14 3 6 26.09
Non Doctor 0 0 0 0 0.00
Class II 15 0 9 6 40.00
Class III 102 43 39 20 19.61
Class IV 25 13 2 10 40.00
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 0 0 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 0 0 0 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 13 7 5 1 7.69
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 24 9 2 13 54.17
Class IV 11 7 0 4 36.36
Community Clinics
Class I Doctor 0 0 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 38 18 17 3 7.89
Class IV 0 0 0 0 0.00

 

Kendua Upazila Health Complex | Health Bulletin 2015 | Page# 12

Status of Human Resources (Class wise)
Class Sanctioned (No.) Filled-up (No.) Vacant (No.) Vacancy %
M F
Upazila Total
Class I Doctor 36 18 11 7 19.44
Non Doctor 0 0 0 0 0.00
Class II 15 0 9 6 40.00
Class III 164 70 58 36 21.95
Class IV 36 20 2 14 38.89
Other Hospitals & Clinics
Class I Doctor 0 0 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 4 3 1 0 0.00
Class IV 2 1 1 0 0.00

 

Kendua Upazila Health Complex | Health Bulletin 2015 | Page# 13

Status of Human Resources (No.) (Category wise)
Manpower Community Clinic USC/UHFWC/RD UHC Others IMCI trained Basic EOC trained CSBA trained
Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up
Physician 0 0 13 12 23 17 0 0 0 0 0
Nurse 0 0 0 0 16 9 0 0 1 1 0
Medical Assistant 0 0 13 11 2 2 0 0 9 0 0
Medical Technologist 0 0 11 3 10 5 0 0 0 0 0
CHCP 38 35 0 0 0 0 0 0 0 0 0
HI 0 0 0 0 4 4 0 0 0 0 0
AHI 0 0 0 0 13 13 0 0 0 0 0
HA 0 0 0 0 60 48 0 0 0 0 12

Kendua Upazila Health Complex | Health Bulletin 2015 | Page# 14

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Radiology equipment
X-ray machine (100 mA) 1 0 1 0 0
X-ray machine (300 mA) 0 0 0 0 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 1 1 0 0 0
Anesthesia machine without ventilator 1 1 0 0 0
Autoclave 1 1 0 0 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 1 1 0 0 0
Operating microscope 3 0 1 2 0
Ceiling mounting OT Light 1 1 0 0 0
Portable OT Light 0 0 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 2 1 0 0 1
Sterilizer 1 1 0 0 0
Sucker machine (electric) 2 1 0 0 1
Ventilator 0 0 0 0 0


Kendua Upazila Health Complex | Health Bulletin 2015 | Page# 15

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Cardiology equipment
ECG machine 2 2 0 0 0
Ecocardiogram machine 0 0 0 0 0
Nebulizer machine 2 1 1 0 0
Pulse oximeter 2 2 0 0 0
Dental equipment
Dental unit 1 1 0 0 0


Kendua Upazila Health Complex | Health Bulletin 2015 | Page# 16

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Lab equipment
Biochemical auto-analyzer 0 0 0 0 0
Centrifuge machine (electric) 1 1 0 0 0
Colorimeter 1 1 0 0 0
Electrolyte analyzer 0 0 0 0 0
Microscope (binocular) 0 0 0 0 0
Pediatric equipment
Baby incubator 1 1 0 0 0
Phototherapy unit 2 1 0 0 1


Kendua Upazila Health Complex | Health Bulletin 2015 | Page# 17

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Blood bank equipment
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 4 4 0 0 0
Refrigerator 1 1 0 0 0
Vehicles
Ambulance 1 0 1 0 0


Kendua Upazila Health Complex | Health Bulletin 2015 | Page# 18

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Air conditioner
Air conditioner (split type) 0 0 0 0 0
Air conditioner (window) 1 1 0 0 0
Generator
Generator (diesel/petrol) 1 1 0 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 7 6 1 0 0
Laptop 35 33 2 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 5 5 0 0 0
Scanner 1 1 0 0 0
UPS 6 6 0 0 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 0 0 0 0 0
Multimedia 1 1 0 0 0


Kendua Upazila Health Complex | Health Bulletin 2015 | Page# 19

Existing equipment at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
OHP 1 0 1 0 0
PA system (Sound) 0 0 0 0 0
Land phone 1 0 1 0 0
Mobile phone 1 1 0 0 0
Total 91 78 8 2 3

Kendua Upazila Health Complex | Health Bulletin 2015 | Page# 20

Important information and necessary issues for Kendua Upazila Health Complex
Important information and necessary issues for kendua upazila health complex: Last year we could not give our maximum efforts improve the health status due to many reasons. Here I like mention some important factors which will help us to achieve good results in future. The X-Ray machine is functional. Our doctor, Nurse, SACMO, Pharmacist,& Statistician need more traiining on Nutrition, Computer, IMCI, & EmOC etc. Our Statistician need Basic Computer training of 28 days. Field activeties for too develop need to health assistant(HA) long time training such as CHCP. Number of the bed & furniture capacity of the health complex should be increased. All the repairable equipments should be repaired as soon as possible. Thanks to All. Edited by S.M.A. Baset Chowdhury, Statistician, Upazila Health Complex, Kendua, Netrakona.